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  • Title: Paraspinal hibernoma: Grand Round presentation of a rare benign adipocytic tumor.
    Author: Ghailane S, Bouloussa H, Fauquier S, Ziadé C, Gille O.
    Journal: Eur Spine J; 2018 Apr; 27(4):822-825. PubMed ID: 28593381.
    Abstract:
    INTRODUCTION: We report an uncommon case of paraspinal hibernoma with a T12-L1 foraminal extension and discuss the potential differential diagnoses of paraspinal adipocytic tumors. MATERIALS AND METHODS: A 32-year-old woman consulted our department with a right subscapular and paraspinal mass. There was no associated neurological deficit. The MRI revealed a paraspinal adipocytic tumor with a T12-L1 right foraminal extension. Percutaneous biopsy suggested a diagnosis of hibernoma. RESULTS: Hibernoma is a rare and benign adipocytic tumor arising from embryologic remnants of brown fat. Specific MRI findings are discussed to differentiate hibernoma from other soft-tissue tumors. A planned marginal resection was undertaken with the final histopathology confirming the diagnosis of hibernoma. CONCLUSION: Based on the Grand Round case and relevant literature, we discuss a rare case of paraspinal hibernoma with a foraminal component and no recurrence at 3-year follow-up.
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